| NPI | 1285967315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD GUNNAR HOLMES President 612-940-8421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 28937) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2012-02-04 |